Beckmann Funeral Home
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Prearrangement Online Form
 

This form was designed to assist in recording important information that is needed when death occurs:

Full Legal Name:
Preferred Name for Obituary:
Home Address:
City, State ZIP Code: ,
Telephone: Inside
City Limits:
County: Length of Residence:
Prior Residence:
Sex: Race: Spanish Origin:
Date of Birth: Place of Birth:
Maiden Name of Deceased: Education/
Years:
Father's Name:
Mother's Maiden Name:
Marital Status:
Occupation: Kind of Business:

Military Information
Organization: Rank:
Date Entered: Place:
Date Discharged: Place:
Service No.: Claim No.:
Church Affiliation:
Organizations:

Services
Place:
Minister:
Interment:
City: County: Section:
Block: Lot: Space:
Family Visitation:
Memorials To:
Newspapers to Notify:
Suggested Readings, Poetry, etc:
Floral Preference:
Clothing and Jewelry Preference:
Instructions for Hairdresser:
Pallbearers:
Honorary Pallbearers:
Organizations to Participate in Service:

Survivors Information
Spouse:
Parents:
Grandparents:
Children:
Brothers/Sisters:
Grandchildren:
Additional Information:
Information Provided by:
E-mail Address:  
Date:


Print this prearrangement form from your computer for your records.
Send information about prearrangements
Contact me to setup an appointment
Please keep my information on file

Beckmann Funeral Home
Family Owned Serving Fredericksburg Since 1876
P.O. Box 711
202 West San Antonio Street
Fredericksburg, Texas 78624
Telephone: 830-997-7511
E-mail: info@beckmannfuneralhome.com